Physician

William Clifford Cole, MD

According to 2025 Medicare claims, William Cole, MD (NPI: 1902842768) practices pulmonary disease in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC (NPI: 1518589803; TIN: 850900392) and primary practice location at 45805-4602.

Cole's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,039 traditional Medicare patients, billed 3,706 HCPCS/CPT codes, and received $285,325 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). 2022 Part D data shows 25 prescription claims totaling $655 in drug costs. 2018 DME data shows 31 claims. Open Payments data shows 6 records totaling $556. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $132,341 to $285,325. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $20,446 to $655. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$155K$310K2015 Medicare payment: $132,341 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $135,233 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $113,203 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $144,276 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $199,132 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $310,025 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $302,415 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $255,116 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $274,500 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $285,325 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154071,841$132,341
20164912,042$135,233
20174761,983$113,203
20184541,606$144,276
20194511,693$199,132
20205432,403$310,025
20214352,066$302,415
20226492,357$255,116
20239623,409$274,500
20241,0393,706$285,325

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$59K$118K2015 Drug cost: $20,446 (USD; Tot_Drug_Cst)2016 Drug cost: $118,369 (USD; Tot_Drug_Cst)2017 Drug cost: $70,484 (USD; Tot_Drug_Cst)2018 Drug cost: $38,921 (USD; Tot_Drug_Cst)2019 Drug cost: $7,804 (USD; Tot_Drug_Cst)2020 Drug cost: $1,793 (USD; Tot_Drug_Cst)2022 Drug cost: $655 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201579258$20,446
201676288$118,369
201772399$70,484
201865239$38,921
20191538$7,804
20201637$1,793
2021N/RN/RN/R
2022N/R25$655
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$24K$48K2015 Medicare payment: $30,201 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $35,547 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $47,557 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $647 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R179$30,201
2016N/R120$35,547
201774279$47,557
20182731$647
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes3581,223$160
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes186417$88
94726Test to determine lung volumes using sensors466472$9
94060Test to measure expiratory airflow and volume changes before and after medication administration439450$7
94729Test to examine how well the lungs exchange gases477487$6

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$556Genentech USA, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for William Clifford Cole, MD?

Tedicare shows public-source Medicare data for William Clifford Cole, MD (NPI 1902842768), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does William Clifford Cole, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to William Clifford Cole, MD?

William Clifford Cole, MD is linked to MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC (billing NPI 1518589803) in the available physician profile data.

Does William Clifford Cole, MD have Open Payments data?

William Clifford Cole, MD has 6 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.